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EN
The issue of interrelations between security and threat has a history as long as the history of mankind. Human beings since the beginning of times have always had needs of higher and lower importance, these needs sometimes collide with the needs and interests of others, thus creating a threat. Originally, the meaning of the term ‘security’ was limited only to the armed protection of territories against the enemies from neighboring countries. With time other layers of threat were recognized and determined. Nowadays, protection against external aggression is just one of many threats which must be dealt with to provide security to a state, other threats are related to economic, ecological, social or cultural aspects.
EN
Introduction. Infectious outbreaks have negative effects not only on the physical health of the society but also on the mental health. Aim. To evaluate the anxiety states and knowledge of COVID-19 during the pandemic in pregnant women. Material and methods. Cross-sectional study conducted in a university hospital in Turkey. A total of 199 pregnant women were included in the study. The State-Trait Anxiety Inventory (STAI), two questionnaires to evaluate the knowledge about COVID-19, and COVID-19-related anxiety were applied to all the women. Results. The highest level of COVID-19-related anxieties were about their spouses or newborns contracting COVID-19, effects of drugs on fetus and contracting COVID-19 during delivery. There was a negative correlation between gestational week and the questionnaire of COVID-19-related anxieties (r=-0.152, p=0.037). STAI total score was 76.48±14.11, and STAI-T scores (42.39±7.66) were higher than STAI-S scores (34.09±8.77). Although their general knowledge about the disease was relatively good, their level of knowledge on issues that pertained specifically to pregnancy was low. Conclusion. These findings indicated more than four months had passed since the pandemic came to the country but, pregnant women were very worried and did not have enough information about the disease
EN
INTRODUCTION: : Coronary artery disease (CAD) leads to mortality and morbidity globally. Approximately, 18 million deaths occurred due to cardiovascular diseases. Objective: To determine the association between knowledge about coronary angiography and anxiety level among patients undergoing coronary angiography. MATERIAL AND METHODS: Analytical cross-sectional study was conducted in two major public-sector hospitals between September 2017 to March 2018. A total of 264 patients were recruited in the study Rusing a non-probability convenience sampling technique. A modified questionnaire about coronary angiography was distributed among participants and the HADS scale was used to assess the anxiety level of the participants. SPSS version 22 was used for data analysis. RESULTS: The mean knowledge score of the participants about angiography was 17.88 ± 4.047. The total knowledge score of both hospitals was good knowledge (6%), fair knowledge (42%) and had poor knowledge (52%). Regarding anxiety level, the participants of both hospitals experienced a high level of anxiety i.e. mild (20%), moderate (34%) & sever (10%). A significant association was found between knowledge and anxiety levels among the participants of both hospitals with a p-value of <0.001. CONCLUSIONS:This study found a significant association between patient’s knowledge about coronary angiography and anxiety level among patients undergoing coronary angiography. The study puts forwards that nurses shall assess the patient’s knowledge before coronary angiography procedure. The provision of accurate knowledge renders categorical purpose to this procedure for salubrious patients’ outcomes.
PL
WSTĘP: Choroba wieńcowa (CAD) prowadzi do śmiertelności i zachorowalności na całym świecie. Około 18 milionów zgonów miało miejsce z powodu chorób układu krążenia. Cel: Określenie związku między wiedzą na temat koronarografii a poziomem lęku wśród pacjentów poddawanych koronarografii. MATERIAŁ I METODY: Przekrojowe badanie analityczne przeprowadzono w dwóch głównych szpitalach sektora publicznego w okresie od września 2017 r. do marca 2018 r. Do badania zrekrutowano łącznie 264 pacjentów, stosując dogodną technikę próbkowania bez prawdopodobieństwa. Uczestnikom rozprowadzono zmodyfikowany kwestionariusz dotyczący koronarografii, a do oceny poziomu lęku wykorzystano skalę HADS. Do analizy danych wykorzystano SPSS w wersji 22. WYNIKI: Średni wynik wiedzy uczestników na temat angiografii wyniósł 17,88 ± 4,047. Całkowity wynik wiedzy obu szpitali to bardzo dobra wiedza (6%), dobra wiedza (42%) i słaba wiedza (52%). Jeśli chodzi o poziom lęku, uczestnicy obu szpitali doświadczyli wysokiego poziomu lęku, tj. łagodnego (20%), umiarkowanego (34%) i silnego (10%). Stwierdzono istotny związek między wiedzą a poziomem lęku wśród uczestników obu szpitali z wartością p <0,001. WNIOSKI: Badanie wykazało istotny związek między wiedzą pacjentów na temat koronarografii, a poziomem lęku wśród pacjentów poddawanych koronarografii. W badaniu postuluje się, aby pielęgniarki oceniały wiedzę pacjenta przed wykonaniem koronarografii. Dostarczenie dokładnej wiedzy nadaje kategoryczny cel tej procedurze dla zdrowych wyników pacjentów.
EN
Obesity is one of the major health problems in adolescents. Health-detrimental lifestyle (i.e. lack of physical activity, inappropriate nutrition) as well as maladaptive styles of coping with stress are regarded as belonging among determinants of obesity. The aim of the study was to establish factors mediating between anxiety and diet-related health behaviors. Participants in the study were 113 adolescents with obesity whose body weight was over 97th centile. They were examined using a set of self-report questionnaires to measure anxiety, coping styles and health behaviors. Emotion-focused coping and seeking social contacts (social diversion) were found to act as mediators between adolescents’ trait anxiety and their health behaviors. The findings suggest that to enhance obese adolescents’ health-promoting behaviors appropriate conditions should be ensured that would not only enable them to express their emotions, but also promote their socializing with peers.
PL
In the last two decades extreme sports have been gaining popularity. Easy access to equipment and technological development affects a larger number of people practising such disciplines as rock climbing or skydiving. These disciplines are strongly associated with experiencing both positive and negative emotions. Research conducted in different sports disciplines clearly shows that emotions such as anxiety have a negative effect on the sport result. Unfortunately, we very often ignore the importance of emotions in recreational activities, which may be an omission in relation to extreme sports. The aim of this study was to find the relationship between the level of state anxiety and effectiveness of rock climbing, and the use of the phenomenon in educating outdoor trainers. The experiment was conducted in natural environment. The measurement of anxiety level was conducted using State and Trait Anxiety Inventory (STAI). The results show the negative impact of anxiety on the effectiveness of rock climbing. Research analysis indicates a high possibility of using the test results in the process of educating outdoor trainers.
EN
The main aim of the research study was to explore the relationships between indecisiveness, academic procrastination and anxiety. The research sample consisted of 296 university students (mean age=21,06; SD=1,52), who completed the Slovak adaptations of the Indecisiveness Scale, the Lay's Procrastination Scale for Students and the Beck Anxiety Inventory. A significant moderate correlation was found between indecisiveness and anxiety, as well as a significant strong correlation between indecisiveness and academic procrastination. A significant but very weak relationship was found between academic procrastination and anxiety. Indecisiveness explained more variance in academic procrastination than anxiety. Indecisiveness was predicted by procrastination and anxiety to a similar degree. No gender differences were detected in the levels of indecisiveness or academic procrastination.
EN
Introduction: Some contradictory data regarding the effects of inclusive physical education were revealed. The purpose of the research is to determine the efficiency of inclusive physical education for schoolchildren of I-III health groups of middle school age on the base of indices of complaints connected with health conditions, mental development, and physical activity. Material and methods: theoretical knowledge, sociological, educational, psycho diagnostics (degree of anxiety by Spielberger - Hanin, HAM: health, activity, mood) auto timing of motor activity (the Framingham method). The experimental group consisted of schoolchildren who were studying at secondary schools in inclusive terms - in these schools physical culture lessons for schoolchildren of I-III health groups were held both for practically healthy children and children with minor deviations in health status (with differentiation of tasks depending on the needs and capabilities of each child). The control group consisted of schoolchildren from the schools where the physical education lessons were conducted separately (segregatively) for schoolchildren of base, preparatory, and special medical groups. The study involved 1414 pupils of secondary school age (5-9 grades). The experimental group consisted of 694 individuals (320 girls and 374 boys) - the control one - 720 individuals (332 girls and 388 boys). Results: The trend toward the decreasing of the number of schoolchildren complaining of health condition with years of training in the experimental group confirmed the higher efficiency of inclusive physical education. Inclusive physical training lessons are less psychologically traumatic than segregative ones because schoolchildren from different medical groups in such terms suffer from the high level of anxiety less; low, often subjective, self-estimation, well-being, activity and mood are significantly higher. Positive changes in mental health are observed in the most tangible inclusive environment among schoolchildren with health deviations. Intensive everyday household physical activity and sports confirm the benefits of inclusive physical education. Conclusions: A high efficiency inclusive physical education student of I-III health groups was proved.
EN
Although randomized trials have proven the benefit of revascularization with the use of carotid endarterectomy (CEA) or stenting (CAS) for appropriate patients, health care purchasers increasingly look beyond clinical outcome toward measures of health-related quality of life (HRQoL) in apportioning limited resources. 36 patients after TIA participated in this study. One group (n=18) had undergone CEA, whereas the second group (n=18) had undergone CAS. Both groups were matched according to age and sex. The Short Form 36 (SF-36) was used to assess the differences in patient-perceived HRQoL in two groups of patients who had suffered minor cerebral ischemic events. No significant difference in health profile between the CEA and CAS was detected for the eight SF-36 domains. However, the CEA group rated a significantly improved change in general health after one year compared with the CAS group (p<0.001). A greater proportion of the CEA group comparing to the CAS group thought their treatment had been successful and that their health had been improved (p<0.001). Both groups shared the same level of anxiety over potential future cerebral ischemic events (p=0.3). Patients' perception of HRQoL measured by the SF-36 domains was almost identical between the CEA and CAS apart from a small but significant improvement in self-reported overall health in the CEA group after one year follow up. HRQoL outcome measures may be of value in future clinical trials of cerebral revascularization to compare the effectiveness of carotid revascularization with the particular method of operation.
EN
Abstract: Selective mutism is more common than initially thought and afflicts immigrant language minority children at approximately three times the rate of monolinguals (Toppelberg, Tabors, Coggins, Lum, & Burgers, 2005). Children who have developmental language and/or articulation problems and children who are quiet due to anxiety or concerns about accents and limited fluency can suffer from selective mutism. This case study examines the efficacy of interdisciplinary treatment with three positive psychology interventions to treat an eight-year-old Spanish-English bilingual child with selective mutism.  Pet-assistance therapy, music therapy, and laughter therapy were incorporated into the child’s speech-language therapy sessions to increase verbal productions across 14 weeks.  Results indicated that pet-assisted therapy revealed positive outcomes, with modest gains for music and laughter.  Implications of outcomes, collaboration, and conclusions are discussed.
EN
Old age is a stage in human life associated with alteration of physical, mental and social functioning. The aim of this study was to investigate the associations between regular physical activity (PA) and purpose of life, intensity of depressive moods, sense of coherence (SoC) and the level of anxiety in older adults. Forty six individuals physically active (A) and 49 physically inactive (NA) without mental or physical disability were included in the study. The purpose of life was assessed by Purpose of Life Scale (PIL), intensity of depressive moods by Beck Depression Inventory (BDI), SoC by Antonovsky’s questionnaire and level of anxiety by State-Trait Anxiety Inventory (STAI). An AN individuals had lover BDI-feelings level compared with A group (p < 0.05). The AN group also showed a significantly lower scores in anxiety-feature domain of the STAI (p < 0.05). Our results suggest that improved self-perceived quality of life is significantly associated to PA among older adults and regular PA may be effective for improving depression and anxiety symptoms in older adults. A better understanding of the relationship between the PA and depressive moods and level of anxiety is important to develop recommendations regarding modifications in life-style.
EN
Background. Paragliding is an extreme sport performed by gliding from a mountain at high altitude into the air. The authors aimed to determine the differences between the levels of adrenaline, cortisol, and insulin before and after the flight of tandem pilots and passengers flying for the first time, and to determine the relationship between these hormones and death anxiety and risk-taking levels. Materials and methods. The study included 12 experienced male pilots and 15 male passengers flying for the first time. Heart rate and blood pressure were measured after the participants had filled in Personal Information Form, DOSPERT Risk-Taking Scale and Death Anxiety Scale before the flight. Blood samples were taken before and after the flight to determine adrenaline, cortisol, and insulin levels. Results. Adrenaline and cortisol levels, as well as heart rate, increased significantly after the flight, while insulin levels decreased significantly in the passenger group (p < 0.05). There were no statistically significant differences in the pilot group. Conclusions. The experience factor plays an important role in the positive effect of paragliding flight on cortisol, adrenaline, insulin, and various physiological parameters, as well as mediates the adaptation of the organism to unusual situations. The human organism adapts physiologically and hormonally to the flying action. One of the striking results of the study was that cortisol levels were at the upper limit of normal values in the passenger group after the flight.
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EN
Alopecia areata (also known as spot baldness) is a disease with multifactorial aetiology, including genetic, hormonal, autoimmune and  psychological factors as well as nervous system disorders. This disorder belongs to  the group of dermatological conditions modified by psychological factors. Clinical experience indicates that stress and psychological aspects contribute significantly to the onset and/or exacerbation of alopecia areata. Pharmacological treatment of this dermatosis is often ineffective or insufficient. Therefore, a holistic approach to the disease, including both medical and  psychological aspects, is  crucial. It  is  emphasised in  the subject literature that some forms of  psychotherapy and pharmacotherapy used in patients with alopecia areata improve their psychophysical condition, and, consequently, stimulate the regrowth of their hair. Research has shown that cognitive-behavioural therapy complements dermatological treatment of alopecia areata, improving the quality of life of patients. The aim of cognitive and behavioural techniques is, on the one hand, to change the maladaptive negative convictions about oneself, the world, and the disease, and, on the other hand, to acquire the ability to cope with negative emotional states and difficult situations, such as a disease. The aim of the paper is to present the results of a literature review on the efficiency of pharmacotherapy and the role of cognitive-behavioural therapy in alopecia areata.
PL
Łysienie plackowate (alopecia areata) jest chorobą o wieloczynnikowej etiologii, w której uwzględnia się czynniki genetyczne, hormonalne, autoimmunologiczne i psychiczne oraz zaburzenia w zakresie układu nerwowego. Schorzenie to zalicza się do grupy chorób dermatologicznych modyfikowanych przez czynniki psychologiczne. Doświadczenie kliniczne wskazuje, że stres i aspekty psychologiczne mają znaczący udział w wystąpieniu i/lub zaostrzeniu łysienia plackowatego. Leczenie farmakologiczne tej dermatozy nierzadko okazuje się nieskuteczne albo niewystarczające. Istotne jest zatem holistyczne podejście do choroby, obejmujące zarówno aspekt medyczny, jak i psychologiczny. W literaturze przedmiotu podaje się, że niektóre formy psychoterapeutyczne i farmakoterapia stosowane u pacjentów z łysieniem plackowatym poprawiają ich stan psychofizyczny, a w konsekwencji wpływają także na odrost włosów. Badania wskazują, że terapia poznawczo- -behawioralna to istotne uzupełnienie dermatologicznego leczenia łysienia plackowatego, przyczyniające się do poprawy jakości życia pacjentów. Celem technik poznawczych i behawioralnych jest z jednej strony zmiana nieadaptacyjnych negatywnych przekonań (zarówno na temat samego siebie czy świata, jak i choroby), a z drugiej nabycie umiejętności radzenia sobie z negatywnymi stanami emocjonalnymi i trudnymi sytuacjami (np. z chorobą). W pracy zaprezentowano wyniki przeglądu literatury dotyczącej efektywności farmakoterapii stosowanej w łysieniu plackowatym oraz techniki terapii poznawczo-behawioralnej, które można wykorzystać w leczeniu tej dermatozy, z uwzględnieniem istotnych problemów charakterystycznych dla pacjentów z chorobami przewlekłymi.
EN
The present study aimed to explore the effects of psychological needs on the relationship of peer victimization and anxiety. Methods: A sample of 889 4th, 5th and 6th primary school students in Guangxi Zhuang Autonomous Region were recruited with the measurement of Peer victimization Questionnaire, Psychological needs Scale and Anxiety Scale (SAS). Results showed that: (1) There were no significant gender and grade differences with respect to Peer victimization; (2) Significant negative correlations were found between all types of peer victimization and the subscales of psychological needs. In addition, significant positive correlations were found between all types of peer victimizationand, anxiety and significant negative correlations between all the subscales of psychological needs and anxiety; (3) Psychological needs partially mediated the relationship between Peer victimizationexperience and anxiety.
EN
The aim of the research was to identify the pattern of psycho - physiological response to emotional stimulation in adults with chronic stuttering. The need to tell a lie functioned as emotional stimulation. Reaction to the stimulus was defined as the change of electrodermal activity (EDA), heart rate (HR), thoracic breathing (TB), diaphragmatic breathing (DB) and respiratory rate (RR) observed 10 seconds before and after the emotional stimulation. Reactions were recorded using Professional Computer Polygraph PIK-02 manufactured by Areopag-Center. The subject group included 68 persons with chronic stuttering (PWS) (24 women and 44 men) as well as 62 healthy nonstuttering persons (PWNS) (18 women and 44 men). Adult patients with chronic stuttering were observed to increase the amplitude and reaction field as well as reduce the EDA latency. The researchers also noticed both increased HR and the range of its changes. Respiratory reactions included a lower amplitude of TB, higher increase and major changes within DB as well as minor changes in RR. Adult patients with chronic stuttering display a unique pattern of psychophysiological response to emotional stimulation, which is different from the one found in the control group.
EN
Coronavirus disease 2019 (COVID-19) is likely to have long-term mental health effects on individuals who have recovered from COVID-19. According to Centers for Disease Control and Prevention (CDC), individuals diagnosed with COVID-19 can see a range of long-term side effects. The aim of the study was to evaluate the effectiveness of neurotherapy (EEG neurofeedback and goal-oriented cognitive training) in the treatment of neurocognitive dysfunctions in a patient after the infection of SARS-CoV-2 and the long long-term side effects after the contraction of COVID-19. The 48-year-old woman ZR, an accountant by profession, an employee of the administration of the Municipal Board of Municipal Resources, fell ill on October 13, 2020. The disease began with very severe burning headache, eyeballs pain, muscle aches. Ten days later more symptoms joined: loss of smell (anosmia) and loss of taste (ageusia), hearing disorders, shortness of breath and chest pains. The symptoms were associated with SARS-CoV-2 coron- avirus infection confirmed by an rt-PCR genetic test. Brain MRI with intravenous paramagnetic contrast medium injection did not show either lesions of acute microischemic significance or areas of pathological enhancement after paramagnetic contrast medium ad- ministration. The patient was treated at home. In mid-November 2020, about a month after the infection of SARS-CoV-2 and con- tracting NeuroCOVID-19, neurocognitive impairment developed and after half a year she was deteriorating and not able to live in- dependently in society because of her condition. She called her problem "brain fog", and was referred for further diagnosis and therapy to the Reintegration and Training Center of the Polish Neuropsychological Society. We diagnosed a range of long-term side effects and introduced neurotherapy (EEG neurofeedback and goal-oriented cognitive training) in the treatment of neurocognitive dysfunctions. It was found that almost all the long-term side effects were reduced in magnitude. The patient improved and she was able to return to work. EEG neurofeedback and goal-oriented cognitive training might be helpful in the reduction of neurocognitive dysfunctions in patients following the infection of SARS-CoV-2 and long-term side effects after the contraction of COVID-19.
EN
In the last two decades extreme sports have been gaining popularity. Easy access to equipment and technological development affects a larger number of people practising such disciplines as rock climbing or skydiving. These disciplines are strongly associated with experiencing both positive and negative emotions. Research conducted in different sports disciplines clearly shows that emotions such as anxiety have a negative effect on the sport result. Unfortunately, we very often ignore the importance of emotions in recreational activities, which may be an omission in relation to extreme sports. The aim of this study was to find the relationship between the level of state anxiety and effectiveness of rock climbing, and the use of the phenomenon in educating outdoor trainers. The experiment was conducted in natural environment. The measurement of anxiety level was conducted using State and Trait Anxiety Inventory (STAI). The results show the negative impact of anxiety on the effectiveness of rock climbing. Research analysis indicates a high possibility of using the test results in the process of educating outdoor trainers.
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Content available remote The Role of Selected Intrapsychic Factors in Alpine Skiing Instruction
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EN
Background: This research was aimed at describing the influence of selected intrapsychic factors related to “low” and “high” mountain conditions upon the efficiency of alpine skiing instruction. Material/Methods: Research participants were 48 people without skiing skills. Altitudes from 770 to 1,741 metres above sea level were chosen for “high” groups. A STAI questionnaire was chosen in order to carry out the research. The skiing level achieved by the end of the instruction was assessed expertly with the three essential evolutions, i.e. ploughing curves, slanting slide, and half-ploughing turn, taken into consideration. Results: The anxiety level after the instruction of the “high” group exceeded that in the “low” group (p<0.0895). Significant negative correlations were observed between the mean score for technical evolutions and the accompanying anxiety in the “high” group of subjects. Conclusions: The lower the characteristic anxiety, the better the technical test results. Whenever skiing evolutions are taught, it is necessary to take into consideration both the students' anxiety levels and their physical effectiveness levels. Contributions to the awareness of skiing instruction participants can increase their mental resistance and result in a better final effect of such an instruction.
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